Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethel Roman Lucero, PT

Individual provider Physical Therapist · NPI 1093786154

Ethel Roman Lucero, PT is a Physical Therapist in Private Practice in Van Nuys, California. Qualified in 1999, 27 years ago. Practices with Orthopaedic and Neurological Rehab Inc, a 417-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
27
Licensed in
CA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

14624 Sherman Way 201
Van Nuys, CA 91405-2241
Phone: (818) 988-8410
Fax: (818) 988-8409
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 28150 (CA)

Record details

NPI number1093786154
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 27, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Orthopaedic And Neurological Rehab Inc — 417 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Van Nuys